HomeMy WebLinkAbout0389Declaration of Domizile and Citizenship ~~.~. 1~C~ PAtE~~~
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~'~' ST. ~UC~E C;;UN1Y. FLA.
8(? ~K
TO THi STATE AN~i COUNTY TA7{ ASSESSOR,
3T. LUCIE COUNTY, FLORIDA: CT' ~~~~E C~UNTY+ F(_,1.
ibis is my deetarstion of Domicile and Citlzership in the State of Florida t:;at I am filing this day in accordance
and in conformity with Chapter 222, Section 222.17, Florida Statutes.
Greenville South ~~rolina
I was formerly a ltgal resident of_ - •
(City) State
HOlly Ridge ApartmQ~_e__ . However, i have changed my domicile
and I resided at
(Street and Number] •
to and a_-n and have teen a bona fide resident cf the State of Florida -since 2 bey of
November _ is 62 and I reside at - 1305 IndiAnra Avenue
(Street and Number]
E ORT PIEF~CE, SAINT LUCIE COUNTY, FLORIDA, -
nr.d this statement is to be taken as my d^claration of citizenship, actual legal residence and domicile in the State of Florida.
'Insert here any pertinent facts, such as ssle of prcperty or business, or relinquishment of emplo}~nent
at former domicile, removal of family to new domicile purci~ase of home, etc•l
yn~~ring Arith Jackie McGinnis in 8th 3race
^ Trinti Danise ~c'Ginnis in 1st sra~le
FILED AND RECO~DED ~ •;
i9sz Nov -7 AM 9:30 ~ " ;~-:•' ~ , _ ~.
ROGER P01?RAS,CLERK ~~•,-~••~,~.'.`~'~~•.~.
Si. LUCIE COUNTY, FLORIDA "~"~•
aQ~~tc~l
I FUItTIiER CERTIFY that I will register at my local address when the registratior. b.o~s reopen, and comply
with all other requirements of a legal resident of this State.
I FURTHEP. CERTIFY that I have no intention to return•to my former domicile, and I intend to remain in
FOR~t,`81~RCE, SAINT LUCIE COiJNTY, FLORIDA, permanently.
c~ ~._ ~. "~..t [Name]
- "' '~_-:- % ~ ° ~ ;~ayne ~%cGinlais
• 9i - , • •~ ~. I Address] -- -
,' ~ ~ ~ ~ • ' ~ November o2
S~vn*~ii'to;and ~bscribed before me this -iay of 19--
P,OGf:R POITRAS
CLL'R~IRCL'IT COUit'P
3Y -C~iL~_-- ~- --- -~ O.C.
Notary Public •
\I~~ Commission expires
[To be executed In dnpllcate add origlnsl tllt:l with Clttk Circuit Court, and duplicate cvtth Tax As~essoY]